放疗相关心血管损伤的影像学表现与研究进展  

Imaging manifestations and research progress of radiotherapy-related cardiovascular injury

作　　者：杨梦犀 徐文婷 戴全 刁伟 周鹏[1] YANG Mengxi;XU Wenting;DAI Quan;DIAO Wei;ZHOU Peng(Department of Imaging;Department of Ultrasound;Department of Nuclear Medicine,Sichuan Cancer Clinical Medical Research Center,Sichuan Cancer Hospital and Research Institute,Sichuan Cancer Prevention Center Affiliated Cancer Hospital of University of Electronic Science and Technology,Chengdu,610041,China)

机构地区：[1]四川省肿瘤临床医学研究中心影像科、四川省肿瘤医院·研究所、四川省癌症防治中心、电子科技大学附属肿瘤医院,成都610041 [2]四川省肿瘤临床医学研究中心超声科、四川省肿瘤医院·研究所、四川省癌症防治中心、电子科技大学附属肿瘤医院 [3]四川省肿瘤临床医学研究中心核医学科、四川省肿瘤医院·研究所四川省癌症防治中心、电子科技大学附属肿瘤医院

出　　处：《临床心血管病杂志》2024年第8期681-688,共8页Journal of Clinical Cardiology

基　　金：国家自然科学基金(No:82202094);四川省自然科学基金(No:2022NSFSC1600、2023NSFSC1719);四川省肿瘤医院优秀青年基金(No:YB2023014)。

摘　　要：放疗作为肿瘤的重要治疗手段,在控制肿瘤进展的同时,也可造成心血管损伤,增加患者远期预后不良的风险。放疗相关心血管损伤表现多样,包括冠心病、心包炎、心瓣膜疾病、心肌病、胸颈部大血管粥样硬化等。影像学检查在放疗相关心血管损伤的诊疗中占有重要地位,可为疾病诊断、病情随访、预后判断提供关键信息。本文针对放疗相关不同类型心血管损伤的影像特征及研究进展进行综述。As a vital therapy for tumors,radiotherapy effectively controls the progression of cancer;however,radiotherapy also leads cardiovascular injury and increases the risk of poor long-term prognosis.There are various manifestations of radiotherapy-related cardiovascular injury,including coronary heart disease,pericarditis,valvular heart disease,cardiomyopathy,chest and neck vascular atherosclerosis.Imaging examination plays an important role in the diagnosis and treatment of radiotherapy-related cardiovascular diseases,which provides key information for clinical diagnosis,routine follow-up and prognosis prediction.Therefore,this article reviews the imaging characteristics and research progress according to the types of radiotherapy-related cardiovascular diseases.

关 键 词：放射治疗 心脏血管损伤 磁共振 CT断层成像 超声 核医学成像 

分 类 号：R541[医药卫生—心血管疾病]